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Fort Walton Beach Resolution — 2025-15 Accepting FDLE Grant Funding to Tactical First Aid Kits ‎(TFAK)‎ — reading text

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addition, the recipient is responsible for ensuring all task force members complete the required BJA Center for Task Force Integrity and Leadership online training courses once every four years. Certificates of completion for each member on the roster must be provided to OCJG at the time of application. If any task force members have not completed the training or have expired certificates, valid certificates must be provided to OCJG within 90 days of award. Does this application propose the use of grant funds to support task force personnel, overtime, equipment, or contracted positions? O Yes (a condition will be added to award) @ No National Environmental Policy Act (NEPA) NEPA requirements apply to any federal project (including grants) that might have a significant impact on the quality of the human environment. The following projects require OC JG to obtain approval from BJA's NEPA coordinator: Projects involving construction, expansion, or renovation of existing facilities. This includes ANY project that involves ground disturbing activities such as the installation of a fence or pole. Site planning documentation such as maps, photos, plans, renderings, etc. will be required. Projects involving the use of chemicals, such as while processing forensic evidence. These projects will be reviewed by the NEPA coordinator to ensure they are not located within or will potentially affect any of the following: a 100-year flood plain; a wetland; important farmland; a proposed or listed endangered or threatened species; a proposed or listed critical habitat; a property that is listed or eligible for listing on the National Register of Historic Places; an area within an approved State Coastal Zone Management Program; a coastal barrier or a portion of a barrier within the Coastal Barrier Resources System; a river or portion of a river included in or designated for potential addition to the Wild and Scenic Rivers System; a designated or proposed Wilderness Area; a sole source aquifer recharge area designated by the EPA; nearby religious or cultural sites; nearby minority, indigenous, low-income, or other sensitive populations. In addition, the NEPA coordinator will evaluate the impact the project may have on noise pollution, and review recipient protocols for the handling of hazardous waste, solid waste, and uncontrolled air emissions (if applicable to the project). If the proposed project is affected, recipients must complete and upload a BJA CATEX Checkilist at the time of application. Projects involving "minor renovation or remodeling" are excluded from NEPA requirements, but additional documentation may be required by your OCJG grant manager to reach this determination. Any expenses incurred prior to NEPA approval are spent “at risk". If BJA denies the request, NEPA-related expenses will not be eligible for reimbursement. Refer to BJA's NEPA Guidance document for more information. Does this application propose the use of grant funds for construction, expansion, or renovation projects, or a project involving the use of chemicals (EXCLUDING meth lab operations)? O Yes (a withholding of funds candition will be added to the award) @ No Page 14 of 18 TFAK Medical Kits City of Fort Walton Beach, FL lethamphetamine Laborato eration Recipients with projects relating to clandestine meth lab operations, including their identification, seizure, or closure (i.e. clean-up), must provide copy of their agency's Methamphetamine Mitigation Plan to OCJG. The plan will be submitted to BJA to ensure it complies with NEPA requirements. Any expenses incurred prior to BJA approval are spent "at risk”. If BJA denies the request expenses related to meth lab operations will not be eligible for reimbursement. Does this application propose the use of grant funds for the identification, seizure, or closure (clean up) of a clandestine meth lab? O Yes (a withholding of funds condition will be added to the award) @ No Application Submission Certifications (200,415) Certification Statement: I certify to the best of my knowledge and belief that the information provided herein is true, complete, and accurate. | am aware that the provision of false, fictitious, or fraudulent information, or the omission of any material fact, may subject me to criminal, civil, or administrative consequences, including, but not limited to violations of U.S. Code Title 18, Sections 2, 1001, 1343, and Title 31, Sections 3729-3730 and 3801-3812. Recipient Response: [x] I certify the statement above by submitting this request. Page 15 of 18 FOLE JAG Program - Grant Contact Information Recipient Grant Manager Contact Information This individual serves as a primary point-of-contact and is responsible for: TFAK Medical Kits City of Fort Walton Beach, FL * ensuring the project is progressing on time and promptly notifying their FDLE grant manager of any delays; ¢ overseeing all programmatic and financial reporting; and e ensuring overall compliance with the grant agreement. GM Name (First Last) Jamieson Ross GM Title Major GM Address 1 7 Hollywood Blvd NE GM Address 2 GM City Fort Walton Beach GM State FL hd GM Zip Codet4 (XXXXX-XXXX) 32548-4920 GM Phone Number (XXX-XXX-XXXX) 850-533-9554 GM Email Address jross@fwb.org Chief Official Contact Information This individual is the agency head for the eligible recipient. The eligible recipient for the JAG program is a state agency or unit of local government. Examples of Chief Officials may include: Chairperson, Mayor, Executive Director, Secretary, Commissioner, etc. CO Name (First Last) Nicholas Allegretto CO Title Mayor CO Address 1 109 Miracle Strip Parkway CO Address 2 CO City Fort Walton Beach Page 16 of 18 TFAK Medical Kits City of Fort Walton Beach, FL CO State FL ad CO Zip Code+4 (XXXXX-XXXX) 32548-4920 CO Phone Number (XXX-XXX-XXXX) 850-833-9546 CO Email Address nallegretto@fwb.org Will the Chief Official be designating another individual to execute agreements on their behalf? © Yes @ No Chief Financial Officer (CFO) Contact Information This individual is responsible for the recipient's accounting system, financial management, and certifying claim reports submitted for payment. CFO Name (First Last) Nicole Nabors CFO Title Finance Director CFO Address 1 109 Miracle Strip Parkway SW CFO Address 2 CFO City Fort Walton Beach CFO State FL | CFO Zip Code+4 (XXXXX-XXXX) 32548-4920 CFO Phone Number (XXX-XXX-XXXX) 850-833-9512 CFO Email Address nnabors@fwb.org Additional Grant Contact ls there an additional grant point-of-contact (POC) you wish to add to the grant file? O Yes @ No Page 17 of 18 FOLE Budget Proposed Budget Summary TFAK Medical Kits City of Fort Walton Beach, FL Expense Budget Grant Funded Total Budgeted E. Supplies TFAK Medical Kits $4,766.00 $4,766.00 Subtotal $4,766.00 $4,766.00 Total Proposed Cost $4,766.00 $4,766.00 Revenue Budget Grant Funded Total Budgeted Grant Funding Award Requested $4,766.00 $4,766.00 Subtotal $4,766.00 $4,766.00 Total Proposed Revenue $4,766.00 $4,766.00 Proposed Budget Detail See attached spreadsheet. Proposed Budget Narrative E. Supplies List items by type (office supplies, postage, training materials, copy paper, books, etc.) with short description of what is included in the type. Each line item description MUST detail the calculation used to arrive the funded amount. NOTE: subscriptions, rent, utilities, etc. should be in the "Other Costs" category. EXAMPLE: office supplies (paper, pens, tape, files, sticky notes, etc.) average $50/month x 12 months = $600, TFAK Medical Kits 40 TFAK Medical Kits @ approximately $120.00 ea. = $4800 Kits include: Torniquet, medical bandages, chest seal, shears, etc. Page 18 of 18

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